Supraclavicular flap as a salvage procedure in reconstruction of head and neck complex defects
| Autor: | Rolf Gemperli, José Carlos Marques de Faria, Claudio Roberto Cernea, Helio R.N. Alves, Fabio de Freitas Busnardo, Rafael Varella dos Santos |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Preoperative radiotherapy medicine.medical_treatment 030230 surgery Free Tissue Flaps Supraclavicular flap Cervicoplasty 03 medical and health sciences 0302 clinical medicine Humans Medicine In patient Thoracic Wall Head and neck Aged Retrospective Studies Aged 80 and over Salvage Therapy Retrospective review business.industry Middle Aged Plastic Surgery Procedures Microsurgery Salvage procedure Surgery Head and Neck Neoplasms 030220 oncology & carcinogenesis Female Complication business |
| Zdroj: | Journal of Plastic, Reconstructive & Aesthetic Surgery. 72:e9-e14 |
| ISSN: | 1748-6815 |
| Popis: | Summary The supraclavicular island flap (SCIF) is an interesting therapeutic option in head and neck reconstruction. Since popularized by Pallua in the late 90s, several clinical series have been published showing its versatility and usefulness. However, only a few studies have focused on factors associated with complications from SCIF use. In this study, we analyzed the factors contributing to SCIF unreliability. We performed a retrospective review of the data of 87 patients undergoing SCIF reconstruction between 2008 and 2015. No significant differences in mean complication rates were observed when the SCIF was used for primary or salvage reconstruction (28% versus 25%, respectively, p = 0.816) or for cutaneous or intraoral reconstruction (27% versus 28%, respectively, p = 0.932). Flap folding, preoperative radiotherapy, and microsurgery were associated with significantly increased complication rates (p = 0.002, p = 0.043, and p = 0.001, respectively), whereas smoking (p = 0.431) had no impact with regard to this. In conclusion, the SCIF is a versatile flap and an important therapeutic tool for use in salvage surgeries, particularly in those performed in patients with poor clinical conditions and limited flap options. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect